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  • 1
    Online Resource
    Online Resource
    The impact of systemic hypertension on outcomes in hospitalized COVID-19 patients – a systematic review
    African Journals Online (AJOL) ; 2022
    In:  African Health Sciences Vol. 22, No. 4 ( 2022-12-23), p. 505-518
    Details
    In: African Health Sciences, African Journals Online (AJOL), Vol. 22, No. 4 ( 2022-12-23), p. 505-518
    Abstract: Background: Several observational reports from different parts of the world have shown that systemic hypertension (hypertension) was the single commonest comorbid condition in hospitalized COVID-19 patients. Hypertension is also the most prevalent comorbidity reported among patients who developed severe disease, were admitted to Intensive Care Unit, needed mechanical ventilatory support, or who died on admission. The objective of this systematic review is to study the association between hypertension and specific clinical outcomes of COVID-19 disease which are- development of severe COVID-19 disease, need foradmission in the intensive care unit (ICU) or critical care unit (CCU), need for mechanical ventilation or death Methods: We searched the PubMed, SCOPUS, and Google Scholar databases up till June 28, 2020 for original research articles that documented the risk factors of mortality in patients with COVID-19 using the PRISMA guideline. Results: One hundred and eighty-two articles were identified using pre-specified search criteria, of which 33 met the study inclusion criteria. Only three were prospective studies. Most studies documented hypertension as the most prevalent comorbidity. The association of hypertension with development of severe COVID-19 disease was not conclusive, majority of studies however found an associated with mortality. Conclusion: Hypertension affects the clinical course and outcome of COVID-19 disease in many cohorts. Prospective studies are needed to further understand this relationship. Keywords: Hypertension and COVID-19; SARS –Cov-2; severity; mortality; ICU care; mechanical ventilation.
    Type of Medium: Online Resource
    ISSN: 1729-0503 , 1680-6905
    URL: Article
    DOI: 10.4314/ahs.v22i4.57
    Language: Unknown
    Publisher: African Journals Online (AJOL)
    Publication Date: 2022
    detail.hit.zdb_id: 2179903-9
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  • 2
    Online Resource
    Online Resource
    Factors Associated with Intra-hospital Mortality of Peripartum Cardiomyopathy Patients in Northcentral Nigeria
    Sciencedomain International ; 2021
    In:  Journal of Advances in Medicine and Medical Research ( 2021-04-15), p. 1-10
    Details
    In: Journal of Advances in Medicine and Medical Research, Sciencedomain International, ( 2021-04-15), p. 1-10
    Abstract: Aims:  We studied the patient characteristics, intra-hospital outcomes and factors associated with intra-hospital mortality in patients admitted for Peripartum Cardiomyopathy (PPCM) in our centre using data from the Ilorin Heart failure Registry. Study design: Prospective Observational Methodology: All the 22 confirmed PPCM patients admitted between January 1, 2016 and December 31, 2019 were recruited and followed up for intra-hospital outcomes. The primary outcome was all-cause intra-hospital mortality. Results: Intra-hospital death occurred in four out of 22 patients (18.2%). The mean age of all patients was 28.4 ± 4.8 years and it was similar in both survivors and patients who died (P=0.960). Majority of patients (14, 63.7%) presented in New York Heart Association Class IV. Mean duration of hospital stay was 11 + 5.7days which was similar between patients who died and those who survived hospital admission (9.0 ± 2.8 vs 11.4 ± 6.1, P=0.457). Median ECG heart rate was 120 (116-123) bpm which was similar between both groups. Factors associated with mortality were biochem ical parameters serum sodium and eGFR which were significantly lower among those who died (125.0 ± 4.1 vs 133.7 ± 2.5mmol/L, P= 〈 0.001; 41.0 ± 18.8 vs 81.9 ± 11.03 mls/min/1.73m2, P 〈 0.001) and the Ejection fraction (EF) and Fractional Shortening (FS) which were also significantly lower in the patients who died 24.0 ± 8.2% vs 37.9 ± 6.2%, P=0.002; 11.0 ± 4.3% vs 18.4 ± 3.8, P=0.003 respectively. Other echocardiographic parameters were similar between the two groups of patients.  A Kaplan-Meier survival curve was drawn to show the time to outcome. Conclusion: Majority of PPCM patients present in clinically severe heart failure and the intra-hospital mortality is high. The importance of serum sodium, eGFR, EF and FS as factors associated with mortality indicates patient sub-groups requiring greater attention and targeted interventions.
    Type of Medium: Online Resource
    ISSN: 2456-8899
    URL: Article
    DOI: 10.9734/jammr/2021/v33i930890
    Language: Unknown
    Publisher: Sciencedomain International
    Publication Date: 2021
    detail.hit.zdb_id: 3166828-8
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  • 3
    Online Resource
    Online Resource
    Factors Associated with Psychiatric Morbidity in Female Medical Doctors in Kwara State, North- Central, Nigeria
    Sciencedomain International ; 2020
    In:  Journal of Advances in Medicine and Medical Research ( 2020-11-27), p. 66-75
    Details
    In: Journal of Advances in Medicine and Medical Research, Sciencedomain International, ( 2020-11-27), p. 66-75
    Abstract: Introduction: The female doctor apart from being affected by the same variables that impose stress on the general population is also prone to stress because of the peculiarities of medical practice and the socio-cultural demands on them by virtue of their gender. Objectives: This study was aimed at assessing the personal, work-stress as well as family       related factors in female doctors associated with psychiatric morbidity in female doctors in Kwara state. Methods: This was a cross-sectional study involving female medical doctors in Ilorin, Kwara State, North-Central, Nigeria. Questionnaires were administered to the Members of the state Chapter of the Medical Women’s Association of Nigeria (MWAN) who were present at the general and scientific meeting of the association held in Kwara state in June 2018. A self-administered semi-structured questionnaire designed to assess biodata, personal history, work related stress, family related history and self-care history of the participants as well as the 12 item general health questionnaire (GHQ-12) was distributed to 80 participants that consented. Results: The prevalence of 23.8% psychiatric morbidity found. Age, relationship with co-workers, feelings of frustration and anger at work, reconsidering a change in work environment, views of negative effect of stress on work as well as access to a maternity leave were found to be associated with psychiatric mobility. Conclusions: These findings underline the need to pay attention to the welfare of female doctors and a need for routine evaluation, early identification and prompt intervention as well as support.
    Type of Medium: Online Resource
    ISSN: 2456-8899
    URL: Article
    DOI: 10.9734/jammr/2020/v32i2230707
    Language: Unknown
    Publisher: Sciencedomain International
    Publication Date: 2020
    detail.hit.zdb_id: 3166828-8
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  • 4
    Online Resource
    Online Resource
    The Influence of Smartphone Use on Psychological Distress in University Undergraduates
    Maad Rayan Publishing Company ; 2023
    In:  Journal of Education and Community Health Vol. 10, No. 2 ( 2023-06-30), p. 79-87
    Details
    In: Journal of Education and Community Health, Maad Rayan Publishing Company, Vol. 10, No. 2 ( 2023-06-30), p. 79-87
    Abstract: Background: Smartphone use has been shown to have effects on psychological health outcomes. There is evidence that the psychological effects of smartphones on young people are significant. It is associated with anxiety, depression, and psychological distress in various populations. The tendency to spend cumulatively long durations exposed to smartphones is an emerging phenomenon among university undergraduates. This study aimed at determining the relationship between smartphone use and psychological distress in university undergraduates. Methods: Data for this cross-sectional study were collected from 3,325 undergraduates of the University of Ilorin, Nigeria in September 2021 using a Sociodemographic proforma, Smartphone Addiction Scale-Short version, and psychological distress was measured using the 12-item General Health Questionnaire (GHQ12). Data were analyzed using SPSS 23. Results: The mean age of respondents was 21.3+2.59 years, and 1835 (55.2%) of them were females. In addition, 3305 (99.4%) owned smartphones, and 720 (21.7%) had more than one smartphone. Psychological distress was present in 1097 smartphone users (33.2%). The level of study (P=0.002), presence of problematic smartphone use (PSU, P 〈 0.001), total time spent on the phone per day (P=0.014), and the time spent on social media per day (P 〈 0.001), as well as leaving the phone data on all day (P=0.001) and engaging in overnight calls or social media chats (P 〈 0.026), Facebook (P=0.001), WeChat (P=0.001), and Snapchat (P=0.001), were significantly associated with psychological distress. Independent predictors of psychological distress were being in year 5 (OR=0.548, P=0.008), presence of PSU (OR=1.586, P 〈 0.001), switching on phone data throughout the day (OR=1.388, P 〈 0.001), and use of WeChat (OR=1.451, P 〈 0.027) and Facebook (OR=0.703, P 〈 0.001). Conclusion: Our findings revealed that important smartphone-related indices such as PSU, switching on phone data access all day, and WeChat were predictive of increased levels of psychological distress. Structured counselling about the productive use of smartphones should be administered in the early years of study for university undergraduates.
    Type of Medium: Online Resource
    ISSN: 2820-896X
    URL: Article
    DOI: 10.34172/jech.2023.2314
    Language: English
    Publisher: Maad Rayan Publishing Company
    Publication Date: 2023
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  • 5
    Online Resource
    Online Resource
    Burden of Care and Psychological Distress in Primary Caregivers of Patients with Type -2 Diabetes Mellitus in A Tertiary Hospital in Nigeria
    African Journals Online (AJOL) ; 1970
    In:  Ethiopian Journal of Health Sciences Vol. 29, No. 6 ( 1970-01-01)
    Details
    In: Ethiopian Journal of Health Sciences, African Journals Online (AJOL), Vol. 29, No. 6 ( 1970-01-01)
    Abstract: BACKGROUND: Caregivers play an important role in the management and care of individuals with chronic medical conditions. This is because; they provide emotional, physical, financial as well as spiritual support to their wards. However, the process of caregiving is usually associated with feelings of burden and psychological distress.METHODS: This study was a descriptive, cross-sectional, clinicbased study done at the endocrinology clinic of a Teaching hospital in Northern Nigeria. It was done utilizing the Zarit Burden Interview, the General Health Questionnaire (12 item version) and a socio-demographic questionnaire designed by the authors. The levels of burden as well as the factors associated with burden and psychological distress in one hundred caregivers of patients with Type 2 Diabetes Mellitus were assessed. Statistical analysis was done using chi square, independent T test and linear regression.RESULTS: Forty- two percent (42%) of caregivers experienced little or no burden, 47% had mild to moderate burden, 8% had moderate to severe burden, while 3% had severe burden. When the ZBI scores were dichotomized into ‘low’ and ‘high’ burden, 89% were found to experience low burden, while 11% experienced high burden. On logistic regression, females were found to be four times more likely to experience high burden, while Thirty-five (35%) percent of caregivers had a GHQ score of 〉 3, signifying psychological distress and psychological distress was found to be significantly associated with burden.CONCLUSION: Many Nigerian caregivers of patients with Type 2 Diabetes Mellitus experience burden and psychological distress associated with caregiving, especially female caregivers and those taking care of those taking care of patients with complications. It is therefore important for clinicians to recognize burdened caregivers and intervene appropriately in order to improve the quality of care of these patients. 
    Type of Medium: Online Resource
    ISSN: 1029-1857 , 1029-1857
    URL: Article
    DOI: 10.4314/ejhs.v29i6.6
    Language: Unknown
    Publisher: African Journals Online (AJOL)
    Publication Date: 1970
    detail.hit.zdb_id: 2705970-4
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